Guerin R L
Arch Otolaryngol. 1979 Sep;105(9):535-7. doi: 10.1001/archotol.1979.00790210033007.
The presence of drooling is an indication of an upset in the coordinated mechanism of facial, tongue, and palate muscles. This upset is particularly common in children with cerebral palsy. After extensive investigation and the establishment of the relative significance of the drooling and the degree of cerebral palsy, positive treatment with physiotherapy is then commenced. Those patients whose conditions fail to improve adequately with positive physiotherapy can be helped by staging surgery. Surgery treatment is carried out as a planned procedure. The submandibular ducts are transposed. Submucosal dissection and redirection of salivary flow from the submandibular glands excludes the necessity for extirpation of the salivary glands.
流口水表明面部、舌头和腭部肌肉的协调机制出现紊乱。这种紊乱在脑瘫儿童中尤为常见。在进行广泛调查并确定流口水与脑瘫程度的相对重要性之后，便开始采用物理疗法进行积极治疗。那些通过积极物理疗法病情未能充分改善的患者，可通过分期手术得到帮助。手术治疗是按计划进行的。将下颌下导管移位。通过黏膜下剥离并改变下颌下腺的唾液流向，无需切除唾液腺。
